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Longitudinal Assessment Using Entrustable Professional Activities: Key Steps for Implementation in Dental Education.

Dilek Çankaya Uyan1, Ashley Tittemore2, Denice Stewart1

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Summary
This summary is machine-generated.

The University of North Carolina ASOD successfully implemented a new longitudinal assessment system using entrustable professional activities (EPAs) to evaluate dental students, ensuring all graduates were practice-ready.

Keywords:
assessmentclinical skillscurriculumdentaleducation

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Area of Science:

  • Dental Education
  • Medical Education Assessment
  • Competency-Based Education

Background:

  • The UNC ASOD transitioned to a new curriculum in 2021, incorporating contemporary pedagogical practices.
  • A key innovation was the adoption of a longitudinal assessment system using entrustable professional activities (EPAs) instead of traditional single competency assessments.

Purpose of the Study:

  • To describe the process and outcomes of determining entrustment and practice readiness for the dental Class of 2024.
  • To evaluate the effectiveness of a longitudinal assessment framework using EPAs for summative entrustment decisions.

Main Methods:

  • A six-step process was employed to determine practice readiness.
  • The final step involved summative decisions regarding entrustment and readiness for safe, independent practice post-graduation.

Main Results:

  • All 91 dental students (100%) achieved Statements of Awarded Responsibility (STARs) or competence in all EPAs, meeting practice readiness criteria.
  • Progression through EPAs varied, with some tasks completed earlier than others.
  • Four learners experienced delays in STAR designation, but no STARs were rescinded.

Conclusions:

  • The longitudinal assessment framework utilizing EPAs successfully prepared practice-ready graduates capable of safe, independent practice.
  • Continuous monitoring of learner performance, independence, and progression in authentic settings enhances the ability to ascertain practice readiness.
  • The EPA framework provides a comprehensive, future-focused approach to evaluating clinical competence and maintaining public trust.